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Home My WebLink AboutPermit CITY OF TIGARD PLUMBING PERMIT ' ■ . COMMUNITY DEVELOPMENT Permit#: PLM2023-00418 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/28/2023 Parcel: 2S1138000500 Jurisdiction: Tigard Site address: 8172 SW DURHAM RD Project: IPDTPI LLC Subdivision: None Lot: None Project Description: Add(1)grease trap,relocate(1)three compartment sink and(1)mop sink. Contractor: Owner: IPDTPI LLC BY KLEWENO,STAN 4800 MEADOWS RD STE 300 LAKE OSWEGO,OR 97035 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 1 ea Interceptor/Grease Trap 09/28/2023 $25.02 Specifics: 2 ea Sink 09/28/2023 $50.04 1 12%State Surcharge- 09/28/2023 $9.01 Type of Use: COM Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $84.07 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR .-cialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if w• is of started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fr ow t - rules adopted by the Oregon Utility Notification Center. Those rules ar rth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain : copy of the rules Issued By: Permittee Signature: 111 ,pir-- r Call 503.639.4175 by 7:00 a.m.for the next available inspe tion This permit card shall be kept in a conspicuous place on the job site unt' completion of the project. Approved plans are required on the job site at the time of e: h inspection. Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard Received p `} Pemr t No.. :� • 13125 SW Hall Blvd.,Tigard,OR 97223 Date./By: L �� -0o'-f/ SEP 2 8 2023 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: I I Gn t1 U Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Loris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WO FEE*DIVISION! FEE* SCHEDULE El New co struction ❑Demolition For special information use checklist Description Qty. Ea. Total dition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) i CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El1-and 2-family dwelling Ld-Commercial/industrial SFR(2)bath 437.78 ID Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 !� 2 )w �uti �Uf ., >� j . City/State/ZIP: -1--i 0\Y d G� _ Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 m" "'"'` '"''ems` Clothes washer 25.02 1 --it ., 9--O Gre-04C 1iv 1A. . Cr1i j"r - U1/C•.& (.` r( , •t() Dishwasher 25.02 R 'OD R Conk j S 1 I'v "'-, i- t"Yv('p S i), r , Drinking fountain 25.02 Y'�{se:7,,,Ft' Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap ( 25.02 Business name: 1 X. it k..0 YY\blr1, `a .(ial t.s i �eicc. Medical gas(value:$_) Page 2 5 C� Primer 12.51 Contact name: LUt ) 0 l @ Z• Roof drain(commercial) 12.51 Address: «5c,( In x (,--).,0(,--).,0f j4 Si ' ' Sink/basin/lavatory 25.02 City/State/ZIP: 11 C E/ Lk) (. q g 6G{1 Solar units(potable water) 62.54 Phone:(503) i j1-1 3 3 '1._)-13 F,axx: :( ) Tub/shower/shower pan 12.51 E-mail: p`x, 'lo m rJ 1 yiA Sr^C:CIQt l I C3 n/a l 1- r Ccivo Urinal 25.02 Water closet 25.02 11 CONTRACTOR Water heater 37.52 Business name: t-1 x t U I7 1 M'L Vic' .5 t l pip g� �%�_ C `J 'ltG L I Cam- S I Water t m W V 56.29 Address: fj5 I S 5(1) (yllUiCe'n/ t``,{- Other: 25.02 City/State/ZIP: f/l6Y -(Q U)C,1 0 0 44 2-2 Subtotal Phone: ( 3) lef).f 3 3 21,E 3 Fax:( ) Minimum permit fee: $72.50 CCB Lie.: `2( 56 `Z�'�' - PI ing Lic.no.: Pb I a1 9 Plan review (25%of permit fee) �� State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: r I 6 4ie)TeN -, Date:0001 This permit application expires if a permit is not obtained within IBO days 4�WT� ( after it has been accepted as complete. *Fee methodology set by Tri County Building Industry Service Board. I:1BuildinglPermits1PLMU-PemutApp.doc 10/01/09 440.4616T(10/02/(1OM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain- 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof.Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer s*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following, Fi re Type for Re ace/ Please check all that apply. Wor Performed: Capped Added ocate ❑ Any new commercial building with water service 2"and Baptist /Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water •irator Dishwasher: Cr erciat ❑ Any multipurpose fire sprinkler system. Do tic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain • f Eye Wash Submit 2 sets of plans with any of the above. /` Floor Drain/sink: -2" / -3" Isometric or Riser Diagram 0 Isometric or riser diagram is required for new buildings -Car Wash P aip that meet the qualifications above. Garbage -Domestic non-f•• / Disposal: -Domestic food rel' -Commercial fooefrel, ed -Industrial food/elated Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall ' Sink: -IavBar/lton-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming/Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:1Building\Permits\PLMF_PermitApp.doc 08/04/2011 2